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1、正常妇女孕早期血红蛋白浓度与妊娠期缺铁性贫血的相关性研宄黄雅[1],朱丽仙[1],钟洁[1】,周亚丽[2]（1.昆明医科大学附属甘美医院产科云南昆明650011;2.昆明医科大学附属甘美医院妇科云南昆明650011）摘要：目的：探讨正常妇女孕早期血红蛋白浓度（Hb）与妊娠期缺铁性贫血（IDA）发生风险间的关系。方法：以2010年1月1口〜2013年6月30曰在我院产科门诊系统规范产检至分娩的正常孕妇1846例为研宄对象，检测其孕早期（孕10〜14周）、孕屮期（孕20〜28周）、孕晚期（孕37周〜分娩前）3个时段的
2、Hb浓度，将研究对象按孕早期（孕10〜14周）Hb浓度分为四组，比较各组不同时段IDA的发生率。结果：孕早期Hb浓度在110g/L〜122g八之间的妇女在不同孕期发生IDA的风险均高于孕早期Hb浓度≥123g/L的妇女，其屮在孕屮期（孕20〜28周）IDA发病率为27.41%,在孕晚期（孕37周〜分娩前）IDA发病率为42.49%。结论：孕早期Hb浓度水平与IDA发生率存在负相关性，尤其在孕晚期更为明显，孕早期Hb浓度在110g八〜122g/L之间的妇女在孕早期预防性补充铁剂，对预防在孕屮期和孕晚期发生妊娠
3、期缺铁性贫血有临床意义。关键词：缺铁性贫血，妊娠；血红蛋0StudyonthecorrelationbetweenhemoglobinconcentrationinnormalwomeninearlypregnancyandgestationalirondeficiencyanemiaHUANGYa[1],ZHULixian[1]，ZHONGJie[1],ZHOUYali[2]（l.Dept.ofObstetrics,AffiliatedCalmetteHospitalofKunmingMedicalUniver
4、sity,KunmingYunnan650011;2.Dept.ofGynecology,AffiliatedCalmetteHospitalofKunmingMedicalUniversity,KunmingYunnan650011）Abstract]Objective:Toinvestigatethenormalearlypregnantwomenhemoglobinconcentration（Hb）andgestationalirondeficiencyanemia（IDA）occurrenceofther
5、elationshipbetweenrisk.Methods:fromJanuary1,2010toJune30,2013inourhospitalgynecologyclinicsystemstandardizedbirthtodeliveryof1846normalpregnantwomenastheresearchobject,thedetectionofearlypregnancy(pregnancy10〜14weeks),middlepregnancy(pregnancy20〜28weeks),late
6、pregnancy(gestationalweek37〜beforedelivery)Hbconcentration3hourstheobjectofstudy,accordingtoearlypregnancy(pregnancy10〜14weeks)concentrationofHbweredividedintofourgroups,theincidenceofIDAwerecomparedinthedifferentperiodoftime.Results:theconcentrationofHbinear
7、lypregnancywomenbetween110g/Land122g/LwerehigherthaninearlypregnancyHbconcentrationis123g/LindifferentIDAriskduringpregnancyinwomen,whichinthemiddleofpregnancy(pregnancy20〜28weeks)theincidenceofIDAwas27.41%,inthethirdtrimesterofpregnancy(37weeksgestationtodel
8、iverybefore)theincidenceofIDArateof42.49%.Conclusion:earlypregnancyHbconcentrationlevelsandtheincidenceofIDAisnegativecorrelation,especiallyinthethirdtrimesterofpregnancyismoreobvious,the
